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Personality Disorders In Modern Life - THEODORE...

Exploring the continuum from normal personality traits to the diagnosis and treatment of severe cases of personality disorders, Personality Disorders in Modern Life, Second Edition is unique in its coverage of both important historical figures and contemporary theorists in the field. Its content spans all the major disorders-Antisocial, Avoidant, Depressive, Compulsive, Histrionic, Narcissistic, Paranoid, Schizoid, and Borderline-as well as their many subtypes. Attention to detail and in-depth discussion of the subtleties involved in these debilitating personality disorders make this book an ideal companion to the DSM-IV(TM).

Personality Disorders in Modern Life - THEODORE...

In 2008, Millon was awarded the Gold Medal Award For Life Achievement in the Application of Psychology by the American Psychological Association.[6] The American Psychological Foundation presents an award named after Millon, known as the "Theodore Millon Award in Personality Psychology," to honor outstanding psychologists engaged in "advancing the science of personality psychology including the areas of personology, personality theory, personality disorders, and personality measurement."[7]

Among other diagnoses, Millon advocated for an expanded version of passive aggressive personality disorder, which he termed 'negativistic' personality disorder and argued could be diagnosed by criteria such as "expresses envy and resentment toward those apparently more fortunate" and "claims to be luckless, ill-starred, and jinxed in life; personal content is more a matter of whining and grumbling than of feeling forlorn and despairing" (APA, 1991, R17). Passive-Aggressive Personality Disorder was expanded somewhat as an official diagnosis in the DSM-III-R but then relegated to the appendix of DSM-IV, tentatively renamed 'Passive-Aggressive (Negativistic) Personality Disorder'.[8]

  • "Personalities are like impressionistic paintings. At a distance, each person is ‘all of a piece'; up close, each is a bewildering complexity of moods, cognitions, and motives." -Theodore Millon Exploring the continuum from normal personality traits to the diagnosing and treatment of severe cases of personality disorders, this book is unique in its coverage of both the historical forerunners and the contemporary theorists. Attention to detail and in-depth discussion of the subtleties involved in these debilitating personality disorders make this book an ideal companion to the DSM-IV. This vital resource features: Discussion of the developmental aspects of personality disorders

  • Balanced coverage of the major theoretical perspectives - biological, psychodynamic, interpersonal, cognitive, and evolutionary

  • Individual chapters on all DSM-IV personality disorders and their subtypes

Case studies, used throughout the text, bring to life the many faces of these disorders. This book will enlighten the reader's understanding of others while illuminating the inner working of human personalities.

Hands down, Personality Disorders in Modern Life is my favorite (need I say best and most comprehensive) book on the topic of personality disorders. It covers antisocial, avoidant, obsessive compulsive, dependent, histrionic, narcissistic, schizoid, paranoid, and borderline as well as those from the appendices of the DSM (masochistic, sadistic, depressive, and negativistic). Author Theodore Milton covers the biological, psychodynamic, interpersonal, cognitive, and evolutionary perspective OF EVERY PERSONALITY DISORDER. I know!!

The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, a widely used manual for diagnosing mental disorders, places obsessive-compulsive personality disorder under section II, under the "personality disorders" chapter, and defines it as: "a pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency, beginning by early adulthood and present in a variety of contexts". A diagnosis of OCPD is only received when four out of the eight criteria are met.

The DSM-5 also includes an alternative set of diagnostic criteria as per the dimensional model of conceptualising personality disorders. Under the proposed set of criteria, a person only receives a diagnosis when there is an impairment in two out of four areas of one's personality functioning, and when there are three out of four pathological traits, one of which must be rigid perfectionism.

especially paranoid and schizotypal personality disorders.[4] OCPD has also been linked to a higher relapse in those who are treated for major depressive disorder,[13] and a higher risk of suicidal behaviour.[13]

There are two approaches used to classify personality disorders; categorical and dimensional. Categorical classification is based on distinct operational criteria depending on behavioral characteristics. DSM-5 and ICD-10 both uses this approach. As compared to this, dimensional classification is based on the personality traits and using a quantitative distinction. It places normality at one end and disorder at other. DSM-5 classifies 10 personality disorders into three clusters due to similar characteristics:CLUSTER A is defined as odd and eccentric and include Paranoid, Schizoid, and Schizotypal. CLUSTER B is defined by erratic and emotional behavior and includes Antisocial, Borderline, Histrionic and Narcissist. CLUSTER C PDs patients are anxious and fearful and incorporate Avoidant, Dependent and Obsessive-Compulsive. ICD-10 classifies into 3 clusters as well, which are A, Odd/eccentric and includesParanoid and Schizoid, B, Dramatic and includes Dissocial, Emotionally unstable borderline type, Emotionally unstable impulsive type and Histrionic, and C, Anxious/fearful that include Anxious, Dependent and Anankastic.

The DSM-IV lists ten personality disorders, grouped into three clusters. The DSM also contains a category for behavioral patterns that do not match these ten disorders, but nevertheless exhibit characteristics of a personality disorder. This category is labeled Personality Disorder NOS (Not Otherwise Specified).

The revision of the previous edition of the DSM, DSM-III-R, also contained the Passive-aggressive Personality Disorder, the Self-defeating Personality Disorder, and the Sadistic Personality Disorder. Passive-Aggressive Personality Disorder is a pattern of negative attitudes and passive resistance in interpersonal situations. Self-defeating personality disorder is characterised by behaviour that consequently undermines the person's pleasure and goals. Sadistic Personality Disorder is a pervasive pattern of cruel, demeaning, and aggressive behavior. These categories were removed in the current version of the DSM, because it is questionable whether these are separate disorders. Passive-aggressive Personality Disorder and Depressive personality disorder were placed in an appendix of DSM-IV for research purposes.

The ICD-10 section on mental and behavioral disorders includes categories of personality disorder and enduring personality changes. They are defined as ingrained patterns indicated by inflexible and disabling responses that significantly differ from how the average person in the culture perceives, thinks and feels, particularly in relating to others.[1]

There is also a category for Mixed and other personality disorders, defined as conditions that are often troublesome but do not demonstrate the specific pattern of symptoms in the named disorders. Finally there is a category of Enduring personality changes, not attributable to brain damage and disease. This is for conditions that seem to arise in adults without a diagnosis of personality disorder, following catastrophic or prolonged stress or other psychiatric illness.

Some types of personality disorder were in previous versions of the diagnostic manuals but have been deleted. This includes two types that were in the DSM-III-R appendix as "proposed diagnostic categories needing further study" without specific criteria, namely sadistic personality disorder (a pervasive pattern of cruel, demeaning and aggressive behavior) and Self-defeating personality disorder (masochistic personality disorder) (characterised by behaviour consequently undermining the person's pleasure and goals).[4] The psychologist Theodore Millon and others consider some relegated diagnoses to be equally valid disorders, and may also propose other personality disorders or subtypes, including mixtures of aspects of different categories of the officially accepted diagnoses.[5]

Comparison should be a strong point in modernsociety. When travelling was laborious and difficult,the masses of one country knew little concerningthose of another. When learning wasrare, and instruction costly and insufficient, thefew knew the secrets of thought and science, themany not even knowing that such things were tobe known. When wealth was uncommon, luxurywas monopolized by a small class, the greater partof mankind earning only for themselves the rightto live poorly. When distinctions were absolute,low life knew nothing of high life but what thenovelist could invent, or the servant reveal. Howchanged is all this to-day! Competence, travel,tuition, and intelligent company are within thereach of all who will give themselves the troubleto attain them. The first consequence of this isthat we become able to make the largest and mostgeneral comparison of human conditions whichhas ever been possible to humanity, nor does this [Pg 25]ability regard the present alone. The unveilingof the treasures of the past, the interpretation ofits experience and doctrine which we owe to thescholar and archæologist, enable us to compareremote antiquity with the things of the last minute.The work of antiquarian science culminatesin the discovery of the prehistoric man. Theologyhad long before invented the post-historicangel. Now, indeed, we ought to be able tochoose the best out of the best, since the wholeis laid in order before us. But the chronic troublehangs upon us still. Had we but such wisdom tochoose as we have chance to see! The gifts ofour future are still shown us in sealed caskets.Which of these conceals the condition of our truehappiness? The leaden one, surely, of which wedistrust the dull exterior, trusting in the innerbrightness which it covers. 041b061a72


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